P970 - IMPROVING CHRONIC DISEASE OUTCOMES THROUGH NUTRITIONAL CARE: FINDINGS FROM FOUR COLOMBIAN INSTITUTIONS

P970

IMPROVING CHRONIC DISEASE OUTCOMES THROUGH NUTRITIONAL CARE: FINDINGS FROM FOUR COLOMBIAN INSTITUTIONS

D. López¹, M. A. Martínez-Agudelo², M. Londoño-Pereira¹, R. A. Merchan-Chaverra¹, A. Rivera-Jaramillo¹, Y. Cuellar-Fernandez¹, M. C. Gomez-Univio¹, L. Ahumada-Ossa¹, C. Posada-Alvarez¹, P. Savino-Lloreda^1,*

¹Centro Latinoamericano de Nutrición (CELAN), Chia, ²Universidad CES, Medellin, Colombia

Rationale: The nutritional care process (NCP) is fundamental in clinical practice as it provides a systematic approach to identifying and treating nutritional problems. The objective was to describe changes in nutritional status following the implementation of the NCP in homecare patients with chronic diseases in four health institutions in Colombia.

Methods: An historical cohort study was conducted. Each patient underwent the NCP, which included dietary counseling and nutritional supplementation, with three follow-ups. Medical and nutritional information was collected. Nutritional status was determined according to GLIM criteria. Univariate and bivariate analyses were performed.

Results: A total of 210 patients (females 62.4%) (mean age 76.3±19.6 years) were included. The most common disease groups were neurological (58.3%), pulmonary (8.6%), endocrine (8.1%), cardiovascular (7.5%), and renal (4.6%). Malnutrition was identified in 69.5% (95%CI 62.8; 75.6%), being more prevalent in those with renal (100%), gastrointestinal (100%), endocrine (75%), and oncological (75%) diseases. The average follow-up period was 117.2±19.7 days. At the end of the follow-up, a decrease in malnutrition was observed (-20.5% 95%CI -29.7; -11.3%), especially in endocrine (-50%), cardiovascular (-30%), oncological (-25%), renal (-25%), musculoskeletal (-25%), neurological (-18.9%), and pulmonary (-16.7%) diseases. An increase in body weight (+0.9kg 95%CI 0.4; 1.4kg; p=0.00), body mass index (+0.37kg/m² 95%CI 0.18; 0.55kg/m²; p=0.00), arm circumference (+1cm 95%CI 0.8; 1.3cm; p=0.00), and calf circumference (+0.7cm 95%CI 0.5; 0.9cm; p=0.00) was observed. There was also a slight increase in energy intake (+1.0kcal/kg 95%CI 0.1; 1.9kcal/kg; p=0.009), with no changes in protein intake.

Conclusion: The implementation of the NCP in homecare patients with chronic diseases can have a significant positive impact on their nutritional status.

Disclosure of Interest: None declared